The University of Michigan Teen Update

1. What sports, activities, or hobbies, have you been active with?

2. Were you able to manage type 1 diabetes while doing the above? If yes/no, please give an example:

3. What was something easy to manage in the last three months?

4. What was something frustrating for you to overcome in the last three months?

5. What else has been going in your life since we last saw you? Home, family, school, friends etc.

6. How has your mood been lately?

7. Please list one goal that you would like to work on for the next 3 months.

8. Would you like to speak with your doctor alone today?

YES

NO